Individual
JACLYN JANET MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 MERRICK RD, MASSAPEQUA, NY 11758-6238
(631) 673-3233
Mailing address
5550 MERRICK RD, MASSAPEQUA, NY 11758-6238
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407541
NY
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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